| NPI | 1447401096 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL ME112962) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WA MD61369100) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AK 249232) | |
| 207ZN0500X Pathology, Neuropathology (Licence: FL ME112962) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AZ 81564) | |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2026-08-10 |